Lowell Wallace, | |
1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | |
(601) 781-8677 | |
(601) 207-7720 |
Full Name | Lowell Wallace |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1120 E Main St Ste 24, Philadelphia, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932610623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lowell Wallace, 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 Ph: (601) 781-8677 | Lowell Wallace, 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 Ph: (601) 781-8677 |
Lindsey Cosgrove, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Macy Dr, Philadelphia, MS 39350 Phone: 662-574-4430 | |
Heidi Starks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 213 Hospital Rd E, Philadelphia, MS 39350 Phone: 601-663-1210 Fax: 601-663-1211 | |
Mrs. Rachael Reed Scarbrough, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1106 Central Dr, Philadelphia, MS 39350 Phone: 601-656-1044 |